National Provider Identifier Database

RALEYS ARIZONA LLC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

RALEY'S ARIZONA LLC
142 E HIGHWAY 260
PAYSON, AZ85541
Phone: 928-474-7039
Fax: 928-474-3415
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for RALEY'S ARIZONA LLC

NPI Number 1972684181
Legal business name
LBN
RALEY'S ARIZONA LLC
Authorized official MIKE MCKINLEY - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart No
Enumeration date 10/17/2006
Last updated 04/20/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: Y004017
  • AZ Medicaid: 880155
  • Other: 0352409 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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